FHA 232 LEAN rates are near historic lows with most FHA 232 / 223 F deals closing with sub 4% rates plus MIP for 35 years.
The loan process still takes over 9 months for refinances and much longer for new construction. After adjusting the appraisal for FHA CAP Rate and all the other rules typically LTV for refinances are in 70% to 76% range.
Freddie Mac announced it is expanding its refinance program for senior housing and this may provide faster refinances for larger deals at slightly lower LTV. Call for a Quote.
For new construction and rehab deals that must close fast we have a an equity investor willing to joint venture that will provide conventional construction loan.